Revised: ARHU 04/20/2020
Stockton University - Independent Study Form
Fall Spring Summer Session IV 20
Academic Information
(to be completed by faculty)
Credit Hours
Avg. Weekly
Contact Hours
Freshman Sophomore Junior Senior Graduate
Independent Study Senior Project Capstone/Thesis
Project for Distinction Online Program Independent Study*
Student Name (last, first)
Faculty Name (last, first) Z number
Office Phone Stockton Email
To be completed by School Dean
This is a Q course^
Other:
__________________________
GENS Dean Signature
Student Records
Project Title
Project Description and
Requirements **
ELOs Covered
Communication Skills
Creativity & Innovation
Global Awareness
Information Literacy &
Quantitative Reasoning
Teamwork & Collaboration
ELO Description
Materials, Readings,
and Assignments
Evaluation: Methods
and Schedules
Project Sponsored By:
______________________________________________
Project Submitted By:
_____________________________________________
Graduate Program Director
(for GRAD programs only)
_____________________________________________
Graduate Program Director Signature (if applicable)
_______________________
If General Studies:
_____________________________________________
Dean (GENS) Signature (if applicable)
_______________________
Project Approved By:
_____________________________________________
Dean (Faculty School) Signature
_______________________
^ Insert a 1 or 2 only in the box.
*For Graduate Online Programs only.
** Course syllabus may be attached if desired, provided all requested information is included.